PMID- 19538209 OWN - NLM STAT- MEDLINE DCOM- 20100105 LR - 20151113 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 16 IP - 11 DP - 2009 Nov TI - BDNF Val66Met polymorphism is associated with cognitive impairment in Italian patients with Parkinson's disease. PG - 1240-5 LID - 10.1111/j.1468-1331.2009.02706.x [doi] AB - BACKGROUND AND PURPOSE: A possible association between Parkinson's disease (PD) and the polymorphism of Brain Derived Neurotrophic Factor (BDNF) G196A (Val66Met) has been suggested by different studies that nevertheless yielded-contrasting result. The purpose of this study was to analyze such possible association in a cohort of Italian PD patients. METHODS: The BDNF polymorphisms were analyzed in 294 Italian patients with PD; results were compared to those obtained in 233 age- and sex-matched healthy controls (HC) enrolled from two tertiary centres in Italy. Polymorphisms were determined by Restriction Fragment Length Polymorphism (RFLP) analysis; correlations between BDNF G196A polymorphism, and cognitive function were established by sub analyzing the results upon dividing PD patients based on their Mini Mental State Examination (MMSE) score. RESULTS: Univariate analysis showed a highly significant correlation between the BDNF(AA) genotype and a MMSE score < or =24. Hence, the distribution of this genotype in PD individuals with a MMSE score < or =24 was significantly increased compared to PD patients with an MMSE score >24 and HC (P < 0.001 in both cases). Multivariate analyses showed that BDNF (AA) genotype was associated to a sixfold risk of cognitive impairment. CONCLUSIONS: The BDNF(AA) homozygote genotype is over-represented in PD patients compared with normal individuals; this genotype was significantly correlated to cognitive impairment, age and disease severity. These results, although preliminary, could be important in establishing novel diagnostic and therapeutic approaches to PD. FAU - Guerini, F R AU - Guerini FR AD - Laboratory of Molecular Medicine and Biotechnology, Don C. Gnocchi Foundation IRCCS, Milan, Italy. fguerini@dongnocchi.it FAU - Beghi, E AU - Beghi E FAU - Riboldazzi, G AU - Riboldazzi G FAU - Zangaglia, R AU - Zangaglia R FAU - Pianezzola, C AU - Pianezzola C FAU - Bono, G AU - Bono G FAU - Casali, C AU - Casali C FAU - Di Lorenzo, C AU - Di Lorenzo C FAU - Agliardi, C AU - Agliardi C FAU - Nappi, G AU - Nappi G FAU - Clerici, M AU - Clerici M FAU - Martignoni, E AU - Martignoni E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090615 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Brain-Derived Neurotrophic Factor/*genetics MH - Chi-Square Distribution MH - Cognition Disorders/*genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Italy MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Parkinson Disease/*genetics MH - Polymorphism, Single Nucleotide/genetics MH - Regression Analysis MH - Reverse Transcriptase Polymerase Chain Reaction MH - Severity of Illness Index EDAT- 2009/06/23 09:00 MHDA- 2010/01/06 06:00 CRDT- 2009/06/23 09:00 PHST- 2009/06/23 09:00 [entrez] PHST- 2009/06/23 09:00 [pubmed] PHST- 2010/01/06 06:00 [medline] AID - ENE2706 [pii] AID - 10.1111/j.1468-1331.2009.02706.x [doi] PST - ppublish SO - Eur J Neurol. 2009 Nov;16(11):1240-5. doi: 10.1111/j.1468-1331.2009.02706.x. Epub 2009 Jun 15.